MR. LUIS ALBERTO PEDEMONTE ACNP
NPI 1568866671
Nurse Practitioner - Acute Care in Falls Church, VA
About Mr. Luis Alberto Pedemonte Acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LUIS ALBERTO PEDEMONTE ACNP (NPI 1568866671) is an individual acute care provider in Falls Church, Virginia, licensed in Virginia (0024171985) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Luis Alberto Pedemonte Acnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Luis Pedemonte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1073678637 (District of Columbia), NPI 1972275196 (Virginia), NPI 1114677572 (Virginia)
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FALLS CHURCH, VA 22042
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Luis Pedemonte's NPI number?
The NPI number for Luis Pedemonte is 1568866671. It was assigned to this individual provider in the NPPES registry on October 17, 2014.
Where is Luis Pedemonte located?
Luis Pedemonte practices at 3300 Gallows Rd Original Building, 2nd Floor, Falls Church, VA 22042. The listed phone number is (703) 776-4958.
What is Luis Pedemonte's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Luis Pedemonte enrolled in Medicare?
Yes. Luis Pedemonte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Luis Pedemonte's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luis Pedemonte reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luis Pedemonte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Luis Pedemonte was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Luis Alberto Pedemonte, ACNP · NPI 1568866671
Acute Care physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since October 17, 2014.
## Identity
- **NPI:** 1568866671 (Entity type: Individual)
- **Enumerated:** October 17, 2014
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 0024171985 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 GALLOWS RD, ORIGINAL BUILDING, 2ND FLOOR, Falls Church, VA 22042-3307
- **Phone:** (703) 776-4958
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** June 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568866671) · Data from the CMS NPPES public registry.